A 4-Year-Old Girl Is in the Hospital with Pyelonephritis

question 458

Multiple Choice

A 4-year-old girl is in the hospital with pyelonephritis.  Urine culture shows >100,000 colonies of Klebsiella oxytoca, which is susceptible to all tested antibiotics.  After 36 hours of intravenous antibiotics, the patient's temperature decreases from 39.4 C (103 F) to 37.8 C (100 F) .  She no longer has flank pain or dysuria and is eating and drinking normally.  The patient is prescribed oral antibiotics and prepared for discharge home.  The mother has contacted an herbalist who recommends treating the infection with motherwort.  The mother says, "I know doctors don't believe in herbalism but I tried it for my skin condition and it worked, so I'm going to use it for my daughter no matter what you say."  A literature search shows no adverse associations with motherwort.  Which of the following is the most appropriate response?

• A)As long as you sign a liability release form, you can administer motherwort at home.
• B)I have to involve Child Protective Services to monitor home antibiotic therapy.
• C)Let me keep her in the hospital until she finishes the course of antibiotics.
• D)Motherwort as sole therapy is okay.  Please bring her back if she gets worse.
• E)Motherwort is okay if she takes an oral antibiotic and we follow up in 2-3 days.

Understand the current state of income inequality in the United States and its trend over the past 35 years.

Grasp the causes of income inequality and the role of wealth distribution among households.

Comprehend the impact and structure of welfare programs like TANF on income distribution.

Analyze the relationship between income inequality and poverty levels, particularly among different age groups.

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Definitions:

Oral Airway

A medical device used to maintain or open a patient’s airway to ensure sufficient air exchange.

Peripheral Vascular Disease

A circulatory condition characterized by narrowed blood vessels outside the heart and brain, often affecting the limbs.

CHG Solution

Chlorhexidine Gluconate solution, an antiseptic used for cleaning skin before surgery or injections to prevent infection.

Perineal

Relating to the perineum, the area between the anus and the genitals, often referenced in medical and health contexts.